Practices

Steady pressure suits both directions. A weighted blanket, a firm squeeze of your own hands, lotion rubbed in with real pressure, bare feet pressed into the floor.

This is the one thing on the list that works whether you are wound up or gone flat, which makes it a good default when you cannot tell which you are.…

To come down, move slowly and rhythmically: rock, sway, walk at half speed. To come up, move properly: jog on the spot, jump, dance fast, or carry something heavy.

Heavy work is the interesting one, because it settles as well as it lifts. Carrying the shopping in one trip, shifting furniture, pushing hard…

Instead of breathing deeply in general, pick the place that feels tight, the front of the ribs, the chest, one shoulder, and send the breath there.

You are not really moving air into your shoulder, but putting your attention there while you breathe does two things: you start to feel that area in…

Your brain is less a single organ than a crowd of billions of cells working out what to do next. The angry pull you feel is one voice in that crowd, not the whole of you.

This matters most in the second when an impulse arrives sounding completely certain. You can hear it, treat it as one contribution, and still not act…

The aim is not to stop feeling angry. It is to stretch the time between the feeling arriving and you doing anything about it, from no seconds to a few.

That target has the advantage of being honest and checkable. You can ask whether you got a moment this time that you did not get last time. The anger…

One move to interrupt, one to settle. Open your hand, then take the slow breaths: the first buys you the gap and the second gives you something to do with it.

An interrupt on its own leaves you standing there, aware and still flooded. A settling practice on its own never gets going, because the moment goes…

Sometimes you can feel the whole exchange lined up before it starts: your line, then theirs, then the door. Leaving your line out is enough to stop the sequence that once.

Nothing impressive is required. You sit there, you say nothing, you let the moment go past unfilled and you find out that it can. Some scripts do…

Notice how much of the tightness in you is the verdict you are passing. As the judging comes down, the body tends to come down with it.

This is something you can test rather than something to believe. Catch yourself narrating: he always does this, she has no respect, typical. Then…

Knowing something calmly and feeling it are two separate achievements, and the second takes longer. If you can say the reasonable thing but it does not touch how you feel, you are partway, not failing.

The gap does not close by arguing with yourself harder. It closes by living it: doing the practice in real situations, in your body, while the…

If a parent has been saying since the first year of school that something is wrong with their child's reading, start from the assumption that they are right. They have watched more of it than anyone else has.

The usual story is years of being told the child is fine, a little behind, will catch up, and then a diagnosis at nine or ten when the easiest years…

A child who cannot bear the noise, the lights and the scratchy jumper all day will be hard to be around by the afternoon. That child usually gets described as badly behaved rather than as overwhelmed.

Once a child is understood to be choosing it, everything that follows is punishment, the arousal climbs, and the sensory difficulty gets worse. That…

If a medicine leaves you wired, restless or with a pulse that will not settle, report it rather than tolerating it quietly.

The antidepressants that act on noradrenaline as well as serotonin can raise blood pressure and put nerves on edge, and with some of them that grows…

Try putting a sentence between you and the mood: this is what my brain is doing right now. It does not make me a bad person, and it does not mean I cannot cope. It just feels that way today.

Low mood does not arrive labelled as a mood. It arrives as facts about you, that you are useless, that nobody wants you around, and it is very hard…

When someone tells you they have been hurting themselves, keep your face steady and stay curious. Alarm closes the conversation, and you need it open.

A visible flinch teaches the person that this is not something you can hear, and the next disclosure goes elsewhere or nowhere. It can also make the…

A medicine that lifts drive is not the same as one that settles anxiety, and for some people the energising kind makes the worry louder.

Bupropion is the clearest example: often good for flatness and lack of motivation, often unhelpful on its own when anxiety and a racing, sleepless…

Put something in before you take something out. Removing the only way a person has of coping leaves them with nothing, which is not safer.

In practice this looks like smaller steps than a promise to stop: cutting the frequency, changing what is used, agreeing to wait ten minutes and do…

Six to eight weeks is what an antidepressant needs before it can be judged. The first fortnight will mostly tell you about side effects.

The transporter is blocked within hours, so the delay belongs to slower changes further down the line. In practice that means picking a date four to…

If a question at the counter feels like judgement rather than care, you are allowed to ask which it is. Is this a medical question or a personal one?

Asked evenly it does not start a row, and it returns the conversation to where it belongs. Pharmacists have proper clinical questions to ask about…

The stimulant shortage is not your pharmacy being disorganised. Regulators set a fixed annual quota of the raw material, and the ceiling has been too low to cover the prescriptions being written.

Knowing that changes what you do with your energy. Ringing round twenty chemists is exhausting and it creates no supply, so spend the effort on…

When a prescription cannot be filled, you can report it to the medicines regulator's shortage inbox, naming the medication and the pharmacy. Nobody writes back, and people often find their prescription turns up soon afterwards.

The value of this is partly practical and partly in not being stuck. Being told no at a counter, month after month, is what makes people quietly…